Question

Omar collected both objective and subjective data about his patient Tyson. What other possible nursing diagnosis could be formulated from that data?

CASE STUDY DETAILS
Omar, a nurse at a physical rehabilitation facility, performs a nursing assessment on his new postoperative patient, Tyson. Tyson is an 8-year-old boy recovering from injuries sustained from a vehicle accident, including a severe pelvic fracture and hip fracture. Tyson lives with his mother, a single parent, who works full-time. In order to select and individualize appropriate nursing diagnoses for Tyson, Omar will gather both objective and subjective data.

At their first meeting, Omar notes that Tyson is sitting in a wheelchair driven by his mother. Tyson appears happy and in no acute distress, greeting Omar with a smile and a handshake. Omar observes Tyson transfer from the wheelchair to the bed with his mother's assistance. Tyson grimaces with movement and is partially weightbearing, with Omar noting full strength in Tyson's arms bilaterally.

Once sitting upright, Tyson no longer grimaces and appears comfortable. During the interview, Tyson tells Omar that he is unable to fully stand on his own and that he has pain when moving or attempting to transfer or stand.

After asking Tyson questions about his ability to move, stand, transfer, and ambulate, Omar reviews his assessment findings in order to select the appropriate nursing diagnoses for Tyson.

A. Constipation
B. Impaired Skin Integrity
C. Social Isolation
D. Impaired Wheelchair Mobility

Answer 1

Possible nursing diagnoses that could be formulated from the data about Tyson include Impaired Skin Integrity, Impaired Wheelchair Mobility, and Constipation. The correct answer is option A.

Step-by-step explanation:

From the objective and subjective data collected by Omar, there are several possible nursing diagnoses that could be formulated for Tyson. One possible nursing diagnosis is Impaired Skin Integrity. This is based on Tyson's report of pain when moving or attempting to transfer or stand, which suggests that he may be at risk for skin breakdown due to immobility and pressure on the skin. Another possible nursing diagnosis is Impaired Wheelchair Mobility. This is supported by Omar's observation of Tyson transferring from the wheelchair to the bed with his mother's assistance and Tyson's statement that he is unable to fully stand on his own. Finally, another possible nursing diagnosis is Constipation. This is based on Tyson's immobility and potential impact on his bowel movements. From the objective and subjective data collected by Omar, there are several possible nursing diagnoses that could be formulated for Tyson. One possible nursing diagnosis is Impaired Skin Integrity. This is based on Tyson's report of pain when moving or attempting to transfer or stand, which suggests that he may be at risk for skin breakdown due to immobility and pressure on the skin. Another possible nursing diagnosis is Impaired Wheelchair Mobility. This is supported by Omar's observation of Tyson transferring from the wheelchair to the bed with his mother's assistance and Tyson's statement that he is unable to fully stand on his own. Finally, another possible nursing diagnosis is Constipation. This is based on Tyson's immobility and potential impact on his bowel movements.